IndividualActive
Carol Mecklenburg, PHD LP
NPI 1144472853 · Clinical Child & Adolescent Psychologist · Maplewood, MN
Provider details
- NPI number
- 1144472853
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4962 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
2399 Ariel St N Ste D
Maplewood, MN 55109-2202
Phone: (651) 770-1311
Fax: (651) 770-1879
Approximate (ZIP-level) locationGet directions
Mailing address
707 Hamline Ave S
Saint Paul, MN 55116-2238
Registry dates
- Enumerated
- 2008-10-14
- Last updated
- 2008-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.